Active NPI
Sadra Sharifi Saber, M.D
- Student in an Organized Health Care Education/Training Program
- New York, NY
National Provider Identifier
1568912772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 285611
- Practice address
- 1111 Amsterdam Ave
Clark Building 10 FL, Suite 007
New York, NY 10021 - Phone
- (212) 523-2154
- Fax
- (212) 523-5402
- NPI assigned
- Oct 12, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 285611 | NY | Primary |
Addresses
Primary practice location
1111 Amsterdam Ave
Clark Building 10 FL, Suite 007
New York, NY 10021
Mailing address
1111 Amsterdam Avenue, Clark Building, 10 FL Suite 007
New York, NY 10025
Phone (212) 523-2154
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 285611 | NY | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476230400000",
"number": "1568912772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 AMSTERDAM AVENUE, CLARK BUILDING, 10 FL SUITE 007",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10025",
"telephone_number": "212-523-2154",
"fax_number": "212-523-5402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 AMSTERDAM AVE",
"address_2": "CLARK BUILDING 10 FL, SUITE 007",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10021",
"telephone_number": "212-523-2154",
"fax_number": "212-523-5402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHARIFI SABER",
"first_name": "SADRA",
"name_prefix": "Mr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-10-12",
"last_updated": "2016-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NY",
"license": "285611",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.